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아동. 청소년 대상 불소도포 급여화에 필요한 건강보험 재정 추계

The financial estimation of fluoride application coverage for children and adolescents

대한구강보건학회지 2020년 44권 1호 p.20 ~ 25
전지은, 정세환, 한동헌, 이새롬, 류재인,
소속 상세정보
전지은 ( Jeon Ji-Eun ) - 경희대학교 치과대학 예방사회치과학교실
정세환 ( Jung Se-Hwan ) - 강릉원주대학교 치과대학 예방치학교실
한동헌 ( Han Dong-Hun ) - 서울대학교 치의학대학원 예방치학교실
이새롬 ( Lee Sae-Rom ) - 경희대학교 치과대학 예방사회치과학교실
류재인 ( Ryu Jae-In ) - 경희대학교 치과대학 예방사회치과학교실

Abstract


Objectives: This study aimed to estimate the financial budget of fluoride application in the National Health Insurance.

Methods: The amount of fluoride application was calculated by using the sealant rate (utilization rate 1), dental examination rate (utilization rate 2), and the average rate of these two (utilization rate 3) in children and adolescents. For the next five years, 100% of the existing fees were applied to estimate the financial budget.

Results: The total budget for children and adolescents was estimated to be 22.0 billion won minimum and 83.5 billion won maximum in the first year, and 104.8 billion won minimum and 398.5 billion won maximum up to the next five years. Moreover, in high risk groups, the total budget was estimated to be 4.2 billion won minimum and 16.1 billion won maximum in the first year, and 18.6 billion won minimum and 70.8 billion won maximum up to the next five years.

Conclusions: The financial budget of fluoride application coverage for children and adolescents was similar or lower than that of the current dental sealants. It needs to implement promptly with the reason of financial saving over the long-term point of view. Based on this evidence, it is affordable and necessary to begin to promote oral health for children and adolescents.

키워드

Children and adolescent; Financial estimation; Fluoride application; Health insurance

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